Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Katherine Marie Crocker, PA-C

Individual provider Medical Physician Assistant · NPI 1386078137

Mrs. Katherine Marie Crocker, PA-C is a Medical Physician Assistant in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

170 Morton St
Jamaica Plain, MA 02130
Phone: (617) 971-3305
Fax: (617) 971-3643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA4959 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1386078137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

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